Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 47853 | TN |
N | 207QA0505X | Family Doctor - Adult Medicine | 47853 | TN |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 47853 | TN |
NPI | 1194990416 |
---|---|
Provider Name | Salma P Khan |
First Address | Memphis, TN 38148-0922 |
Second Address | Cordova, TN 38018-7280 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2008 |
Last Update Date | 10/10/2013 |